Browsing by Author "Adams, G."

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    Chroniese miltabses : 'n gevalbespreking
    (Health & Medical Publishing Group, 1984) Tredoux, J. G.; Hough, F. S.; Adams, G.; Beyers, J. A.; Klopper, J. F.
    A 16-year-old girl had had a splenic abscess for approximately 20 months with minimal symptoms and signs. Progressive elevation of the left hemidiaphragm could be traced on chest radiographs from 20 months before admission, and was shown on ultrasonography, radionuclide scintigraphy and computed tomography to be secondary to massive splenomegaly. The presence of splenic abscesses was confirmed by laparotomy and she was cured by splenectomy. The nonspecific clinical presentation and potential high mortality of this condition are stressed, and the role of diagnostic aids is discussed. Ultrasonography is a good screening procedure in terms of cost and speed, but splenic scintigraphy is more sensitive. Computed tomography is the most sensitive and specific non-invasive procedure for the diagnosis of splenic abscesses.
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    A comparison of 4-week peptic ulcer healing rates following treatment with antacids and ranitidine
    (Health and Medical Publishing Group (HMPG), 1984-06) Bezuidenhout, D. J. J.; Perold, J. G.; Adams, G.
    Eighty-eight patients with endoscopically proven gastric and duodenal ulceration were treated with ranitidine (Zantac; Glaxo) or an antacid preparation containing aluminium hydroxide and magnesium trisilicate (Gelusil; Warner) over a 4-week period to assess healing. Clinical, haematological and biochemical assessment and endoscopy were performed at the beginning and at the end of this period. Of the duodenal ulcers, 74% healed on ranitidine therapy and 63% on Gelusil. This difference was not statistically significant (χ2(1) = 0,55). Of the gastric ulcers 58% healed on ranitidine therapy and 35% on Gelusil, but this difference did not reach statistical significance (χ2(1) = 1,79). There was no significant difference between the two therapies with regard to symptomatic relief in the duodenal ulcer group, but ranitidine produced significantly better results in the gastric ulcer group. No side-effects were noted in either group.
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    Hydatid cysts simulating massive ascites : a case report
    (Health & Medical Publishing Group, 1986) Adams, G.; Bezuidenhout, D. J. J.
    A patient with the clinical features of massive ascites was found to have extensive intra-abdominal hydatid cysts.